Active NPI
Mayrely Janine Fernandez, LMHC
- Mental Health Counselor
- Hialeah, FL
National Provider Identifier
1093355786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12351
- Practice address
- 2300 W 84TH St Ste 409
Hialeah, FL 33016-5780 - Phone
- (305) 827-3252
- NPI assigned
- Jan 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12351 | FL | Primary |
Addresses
Primary practice location
2300 W 84TH St Ste 409
Hialeah, FL 33016-5780
Mailing address
19770 Cypress CT
Hialeah, FL 33015-8100
Phone (786) 552-2368
Other practice location 1
3926 NW 167th St
Miami Gardens, FL 33054-6240
Phone (305) 827-3252
Other names 1
- Mayrely Janine Alvarez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH12351 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dade Family Counseling Inc. | Past | Accepting new patients | |
| Dade Family Counseling Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Opa Locka, FL
- NPI 1396447298
Mental Health
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Miami Gardens, FL
- NPI 1295598274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1093355786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19770 CYPRESS CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330158100",
"telephone_number": "786-552-2368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W 84TH ST STE 409",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165780",
"telephone_number": "305-827-3252"
}
],
"practiceLocations": [
{
"address_1": "3926 NW 167th St",
"address_purpose": "LOCATION",
"city": "Miami Gardens",
"state": "FL",
"postal_code": "330546240",
"country_code": "US",
"telephone_number": "305-827-3252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "MAYRELY",
"middle_name": "JANINE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-09",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAYRELY",
"last_name": "ALVAREZ",
"middle_name": "JANINE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.